Organization Active NPI

Kirtland Woods of Journey, LLC

Doing business as Kirtland Woods of Journey

  • Skilled Nursing Facility
  • Kirtland, OH
National Provider Identifier
1821826603
Registry record updated Jul 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
KIRTLAND WOODS OF JOURNEY, LLC
Doing business as
Kirtland Woods of Journey
Practice address
9685 Chillicothe Rd
Kirtland, OH 44094-8503
Phone
(440) 256-8100
NPI assigned
Jul 23, 2024
Last updated
Jul 23, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Bernard McGuinness
Title
Authorized Representative
Phone
(440) 256-8100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

9685 Chillicothe Rd
Kirtland, OH 44094-8503

Mailing address

9685 Chillicothe Rd
Kirtland, OH 44094-8503
Phone (440) 256-8100

Other names 1

  • Kirtland Woods of Journey Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241127003917 OH Part A Provider - Skilled Nursing Facility 0345775342 Practice locations: Kirtland, OH

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1821826603. Details of each certification follow.

Skilled nursing facility certification: CCN 365290

Legal name
KIRTLAND WOODS OF JOURNEY, LLC
Doing business as
KIRTLAND WOODS OF JOURNEY
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jun 4, 1973
Last certification
May 2, 2024
Beds
177
Ownership / control type
Limited Liability Corporation
Organization structure
LLCProprietary
Enrollment address
9685 Chillicothe Rd
Kirtland, OH 44094-8503
Nursing home name
KIRTLAND WOODS OF JOURNEY
Affiliated entity
JOURNEY HEALTHCARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Kirtland Woods of JourneyCCN 365290 · All quality measures
Overall star rating
1 of 5
Health inspections
1 of 5
Staffing
1 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Jun 4, 1973
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
17758.7 residents per day on average
Chain
Journey Healthcare32 facilities in the chain
Penalties (3 years)
2Fines totaling $162,637

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
36D0703569Kirtland Woods of Journey9685 Chillicothe Road, Kirtland, OH 44094Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 12

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Blue Ocean Trust Organization, Boca Raton, FL For-profit 5% Or Greater Indirect Ownership Interest Oct 1, 2024 31.7%
Adp of the SNF Nov 27, 2024
Ajoj Holdings LLC Organization, Boca Raton, FL LLC, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Oct 1, 2024 33.33%
Adp of the SNF Nov 27, 2024
Shasam Holdings LLC Organization, Boca Raton, FL LLC, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Oct 1, 2024 33.33%
Adp of the SNF Nov 27, 2024
Mihaela Donca Individual Operational/Managerial Control Nov 27, 2024
Adp of the SNF Nov 27, 2024
Journey CZ Management LLC Organization, Noblesville, IN LLC, Management services company, For-profit Operational/Managerial Control Nov 27, 2024
Adp of the SNF Nov 27, 2024
Bernard J McGuinness Individual 5% Or Greater Indirect Ownership Interest Oct 1, 2024 4.9%
Operational/Managerial Control Nov 27, 2024
3 Bees Holdings LLC Organization, Noblesville, IN LLC, Holding company, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Oct 1, 2024 33.33%
Adp of the SNF Nov 27, 2024
Pamela Sue Duggan Individual Adp of the SNF Dec 11, 2024
Shasam Family Trust Organization, Boca Raton, FL For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Oct 1, 2024 31.7%
Adp of the SNF Nov 27, 2024
Journey CZ Oh Healthcare Holdings LLC Organization, Noblesville, IN LLC, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Oct 1, 2024 100%
Bees Family Irrevocable Trust Organization, Carmel, IN For-profit 5% Or Greater Indirect Ownership Interest Oct 1, 2024 31.7%
Adp of the SNF Nov 27, 2024
Journey CZ of Oh LLC Organization, Noblesville, IN LLC, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Oct 1, 2024 100%

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 11

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1721692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721692800000",
    "number": "1821826603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9685 CHILLICOTHE RD",
            "city": "KIRTLAND",
            "state": "OH",
            "postal_code": "440948503",
            "telephone_number": "440-256-8100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9685 CHILLICOTHE RD",
            "city": "KIRTLAND",
            "state": "OH",
            "postal_code": "440948503",
            "telephone_number": "440-256-8100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIRTLAND WOODS OF JOURNEY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-23",
        "last_updated": "2024-07-23",
        "certification_date": "2024-07-23",
        "status": "A",
        "authorized_official_last_name": "MCGUINNESS",
        "authorized_official_first_name": "BERNARD",
        "authorized_official_title_or_position": "AUTHORIZED REPRESENTATIVE",
        "authorized_official_telephone_number": "440-256-8100"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kirtland Woods of Journey",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kirtland, OH

Sources for this page

Verify at the official NPI Registry.